License Directory

Douglass Takashi Domoto Md

Inactive

Illinois license 33*****42

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
33*****42
Status
Inactive (Cancelled)
First issued
January 1, 1997
Expired
July 31, 2005
License holder
Douglass Takashi Domoto Md
Entity type
Individual

Classifications

More from the license record

Controlled substance schedules
II III IV V

Other Illinois licenses under this name

  • IL
    Douglass Takashi Domoto Md
    License 036057380
    Licensed Physician and Surgeon (Medical Board)
    Inactive
    Saint Louis, MO
    Expired Jul 31, 2005

Contact

East Saint Louis, IL 62201
Saint Clair County